TAMIECA DIANE SHELLS - Pharmacist License in Illinois | # 049144295

TAMIECA DIANE SHELLS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144295

License Status

NOT RENEWED

Business

N

First Name

TAMIECA

Middle

DIANE

Last Name

SHELLS

Business Name

TAMIECA DIANE SHELLS

Original Issue Date

08/23/2002

Effective Date

08/23/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005